US6244867B1 - Multi-part, multi-positionable abutment for use with dental implants - Google Patents
Multi-part, multi-positionable abutment for use with dental implants Download PDFInfo
- Publication number
- US6244867B1 US6244867B1 US09/198,651 US19865198A US6244867B1 US 6244867 B1 US6244867 B1 US 6244867B1 US 19865198 A US19865198 A US 19865198A US 6244867 B1 US6244867 B1 US 6244867B1
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- United States
- Prior art keywords
- abutment
- passage
- distal end
- implant
- opening
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0066—Connecting devices for joining an upper structure with an implant member, e.g. spacers with positioning means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0069—Connecting devices for joining an upper structure with an implant member, e.g. spacers tapered or conical connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0054—Connecting devices for joining an upper structure with an implant member, e.g. spacers having a cylindrical implant connecting part
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0059—Connecting devices for joining an upper structure with an implant member, e.g. spacers with additional friction enhancing means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/006—Connecting devices for joining an upper structure with an implant member, e.g. spacers with polygonal positional means, e.g. hexagonal or octagonal
Definitions
- This invention relates to multi-part abutments adapted for use with dental implants, particularly endosseous dental implants, and, more particularly, cylindrical-shaped endosseous dental implants.
- abutments have multiple parts, namely a first part called a connector, and a second part that may, for example, be an angled abutment body or a straight abutment body that can be placed in any one of a plurality of desired positions.
- these multiple parts are secured to a dental implant by a single fastener that joins the multiple parts of the abutment to one another, and to the implant.
- the body covers the connector, and forms a single, preferably sealed, external margin with the top surface of the implant.
- the multi-part abutment of this invention comprises part one, denoted a connector, having a projection of a shape and size, at its distal end, that is adapted to fit into an opening or passage at the proximal end of a dental implant.
- part one may have a recess of a shape and size, at its distal end, that is adapted to fit over a projection, such as a multi-sided projection, at the proximal end of a dental implant.
- Part one includes a multi-featured, preferably a multi-sided surface, on its external wall.
- This surface has a size and shape adapted to engage a preferably frictionally, features of complementary size and shape at or near the bottom end of abutment part two.
- a multisided surface has, for example, six to twelve faces or sides to permit connection to abutment part two, denoted a body, which has a complementary cavity or opening with, for example, from six to twelve faces or sides.
- These complementary configurations permit part two to be placed in any one of a plurality, e.g. six to twelve positions over part one.
- part one may include connecting features other than a multisided surface that engage complementary connecting features in a cavity or opening in part two, such as spines, grooves or slots and projections, and pins and holes or slots.
- Parts one and two also include a passage along their longitudinal axes for receiving a fastener.
- a fastener preferably includes a shaft that passes through the passage in part two, through a similar, colinear passage in part one, and into the passage or opening at the top of the dental implant.
- the fastener is adapted to engage the passage or opening at the top of the implant.
- a threaded portion at the distal end of the fastener engages complementary threads on the interior wall of the passage or opening in the dental implant.
- Part two preferably includes, at its distal end, a multi-sided cavity of a size, shape and configuration that interdigitates and connects with the multi-sided surface on the external wall of part one.
- This distal end of part two has, in such preferred embodiments, a multi-sided cavity with e.g. six to twelve sides or faces to permit part two to interdigitate in any one of a number of positions over part one.
- Part two has, at its proximal end, a prosthesis-engaging or prosthesis-forming portion that can be of any desired size or shape, and formed at any angle with respect to the longitudinal axis of the abutment.
- this proximal end of part two has a frusto-conical-shaped portion that lies along the longitudinal axes of the two parts, where it forms an angle with respect to the longitudinal axes of the two parts.
- part two like part one, includes a passage along its longitudinal axis for receiving a fastener.
- This longitudinal passage is of a size, shape and configuration that is substantially similar to the size, shape and configuration of the longitudinal passage in part one so that a single fastener can pass through both passages, joining abutment parts one and two to one another and to a dental implant.
- the passage is preferably cylindrical in shape, and includes an internal shelf or flange for engaging one end of the single fastener that is adapted to join the two parts to one another, and to a dental implant.
- the fastener includes a cylindrical-shaped shaft having a threaded portion at its distal end, and having a flange at its upper end that is of a size and shape adapted to engage the shoulder or flange in the interior passage of abutment part two.
- the shaft can have, at its distal end, a portion of a size and shape adapted to frictionally engage, or cement into a passage or opening inside the top of a dental implant.
- the abutment of this invention includes a connector, denoted part one, and an abutment body, denoted part two, that fits over part one, and seats, preferably sealingly, atop a dental implant, thus providing a low profile abutment assembly.
- This two part abutment can be placed in a plurality of positions, as desired, and can be joined to a dental implant with a single fastener, preferably a fixation screw.
- the abutment body and connector are friction-fitted to one another.
- the resulting body/connector assembly is also friction-fitted to the complementary structure of existing dental implants, including dental implants with an external projection and dental implants with an internal, multi-sided passage or other abutment/implant connection structure.
- the connector may have, at its distal end, an external taper-lock, multi-sided structure, or an internal multi-sided structure for attachment to an implant.
- the connector includes internal threads to engage a tool that disengages the connector from the implant.
- the abutment body has an internal multisided cavity at or near its distal end for connection to a multi-sided external wall projection on the connector (part one).
- the proximal end of the body includes an access hole for a fixation screw.
- Internal threads in the passageway through the body portion include internal threads to engage a tool that can disengage the body from the connector.
- the outer structure of the body can vary depending upon its intended function or use.
- An angled body provides an angulation adjustment to the longitudinal axis of an implant.
- Such a body may be rotated to and placed in a desired orientation using the interdigitating multi-sided connections between the connector and body assembly. Because the connector and the body are separate, the body can be cast to gold with no connector attached, thus avoiding deformation of the connector during casting.
- the abutment body can be joined to an implant without the connector, if desired, or with the connector to form a multi-part abutment.
- the multi-part abutment of this invention is packaged with an angled, one piece carrier, preferably a plastic carrier.
- This carrier delivers the connector at a desired angle and orientation to an implant placed in the jawbone of a patient.
- the distal end of the carrier includes an internal multi-sided cavity to engage the connector. This cavity is at an angle to the axis of the carrier's body to facilitate proper placement of the connector, thus establishing precise indexing and positioning of the connector's lower end on an implant's upper end.
- FIG. 1 shows an exploded, side elevation view, partly in cross-section, of two embodiments of the multi-part abutments of this invention for use with an endosseous dental implant having internal wrench-engaging surfaces and an internally-threaded shaft;
- FIG. 2 shows another embodiment of the multi-part abutment of this invention in side elevation view, partly in cross-section, for use with an endosseous dental implant having an external projection for engagement with the abutment, and an internally-threaded shaft;
- FIG. 3 shows a side elevation view, in cross-section, of the implant shown in FIG. 1 with one of the abutment embodiments shown in FIG. 1, assembled and connected to a prosthesis;
- FIG. 4 shows an embodiment of the angled, one piece carrier for an abutment connector.
- FIG. 1 shows endosseous dental implant 4 having external threads 100 , smooth neck portion 101 , internal passage 102 with chamfered surface 103 at the entrance thereto, and, below surface 103 , multi-sided internal wrench-engaging surfaces 104 , 105 , and 106 in an internal passage 102 .
- Internal passage 102 also includes internal threads 108 .
- Internal passage 102 ends at conical surface 109 inside implant 4 .
- FIG. 1 shows two embodiments of the multi-part abutment of this invention. Both embodiments include connector 1 A, also called part one.
- Connector 1 A includes, at its proximal end, a multi-sided external wall portion 5 A that includes six downwardly, outwardly tapered flats e.g. flats 110 , 111 , and 112 , visible in FIG. 1 .
- Connector 1 A also includes, at its distal end, multi-sided surfaces 2 equal in number and length to the internal wrench-engaging surfaces 104 , 105 , and 106 in implant 4 A.
- Inside connector 1 A is internal passage 113 that includes internal threads 7 . Threads 7 can engage a tool for disengaging connector 1 A from implant 4 A.
- FIG. 1 also shows abutment bodies 9 A and 9 B.
- Angled abutment body 9 A includes angled upper portion 114 , internal, longitudinal passage 115 for receiving fastener 10 , and, at its distal end, internal cavity 116 that includes a plurality of multi-sided surfaces 117 , 118 , among others, of a size and shape complementary to multi-sided external wall projection 5 A of connector 1 A.
- Abutment body 9 A fits over external wall projection 5 A on connector 1 A and engages its surfaces frictionally.
- Abutment body 9 A also includes annular, inwardly, downwardly tapering surface 118 which seats sealingly on chamfered surface 103 when abutment body 9 A is placed atop implant 4 A, with or without connector 1 A.
- Abutment body 9 B has a downwardly, outwardly tapering side wall 120 , an upper cylindrical externally threaded portion 121 and a downwardly, inwardly tapering surface 122 that seats in chamfered surface 103 of implant 4 A.
- Internal threads 11 B serve the same function as internal threads 11 A in abutment body 9 A.
- At the distal end of abutment body 9 B is internal cavity 123 that includes a plurality of flats such as 124 and 125 that engage, frictionally, flats 110 , 111 , and 112 on connector 2 .
- Fastener 10 includes shank 126 , with an externally threaded distal portion 127 .
- the proximal end of fastener 10 includes internal cavity 128 with a multi-sided surface 129 to engage a suitable tool for holding, twisting or turning fastener 10 .
- its external surface tapers outwardly at section 130 to cylindrical section 131 .
- the upper end of surface 131 includes flange 132 which is of sufficient diameter to engage the internal flanges 133 and 134 of abutment bodies 9 B and 9 A, respectively.
- Fastener 10 is of sufficient diameter to fit through internal passage 115 of abutment body 9 A or internal passage 135 of abutment body 9 B, through internal passage 113 of connector 2 , and threadedly into internal threads 108 of implant 4 , thus holding abutment body 9 A or 9 B alone, or in combination with connector 1 A, to implant 4 A.
- FIG. 3 shows implant 4 A of FIG. 1 assembled with connector 1 A and abutment body 9 B.
- Fastener 10 A passes through both connector 1 A, abutment body 9 B and into threaded engagement with internal threads 108 via the threaded portion 127 of shank 126 , holding connector 1 A and body 9 B together and on implant 4 .
- Surface 122 of abutment body 9 B rests sealingly upon chamfered region 103 of implant 4 A.
- Abutment body 9 B covers connector 1 A, and forms a single margin with the proximal end of implant 4 A.
- prosthesis 200 here a false tooth.
- FIG. 2 shows endosseous dental implant 4 B in an elevation cross-sectional view.
- Implant 4 B includes externally threaded surface 201 and, at its distal end, through-hole 202 and apical hole 203 .
- Atop externally threaded side wall 201 of implant 4 B is neck portion 204 .
- Atop neck portion 204 is flat upper surface 205 surrounding a multi-sided projection 206 .
- Implant 4 B also includes an internal passageway 207 having a chamfered region 208 at the entrance to passage 207 .
- Inside passage 207 are internal threads 209 .
- Passage 207 ends inside implant 4 B at conical surface 210 .
- FIG. 2 also shows a multi-part abutment including connector 1 B, abutment body 9 C, and fastener 10 B.
- Connector 1 B includes external multi-sided projection 211 . Each of these surfaces tapers outwardly and downwardly from the proximal end 212 of connector 1 B to the distal end 213 .
- the upper peripheral surface of connector 1 B namely surface 214 , is frusto-conical in shape and complementary in size and shape to internal, frusto-conical surface 215 of abutment body 9 C.
- Connector 1 B includes internal passage 216 with internal threads 217 at the proximal end and internal multi-sided cavity 218 at the distal end.
- Abutment body 9 C includes angled exterior upper portion 219 , internal longitudinal passage 220 with internal threads 221 , and, at its distal end, internal cavity 6 B with a plurality of flat surfaces 222 for seating upon and engagement with flat, external projection 211 of connector 1 B.
- Fastener 10 B includes an externally threaded shank 223 , neck portion 224 , lower flange surface 225 , and internal passage 226 with a multi-sided surface for engaging a suitable tool for twisting, turning or holding fastener 10 B.
- the abutment of FIG. 2 can be used as a multi-part abutment where connector 1 B and abutment body 9 C frictionally engage one another, and connector 1 B is seated upon external projection 206 atop implant 4 B, or as a single part abutment with abutment body 9 C seated directly upon surface 205 , and connector 1 B omitted. Whether connector 1 B is used or omitted, fastener 10 B holds abutment body 9 C sealingly to implant 4 B when placed through internal passage 220 and into internally threaded passage 207 of implant 4 B.
- connector 1 B and abutment body 9 C fit together frictionally, they can be removed as a unit from implant 4 B, and can also be disengaged from one another, as when abutment body 9 C is cast to gold.
- FIG. 4 shows implant 4 B placed in jawbone tissue 300 at an angle to jawbone axis 25 .
- Projection 206 is, therefore, also at an angle to jawbone axis 25 .
- Carrier 250 includes cylindrical center portion 251 , with an upper cylindrical portion 252 of smaller dimension than center portion 251 .
- carrier 250 includes angled distal portion 254 with internal multi-sided passage 255 .
- Passage 255 a size and shape complementary to connector 1 B, and thus holds connector 1 B frictionally in cavity 255 .
- Internal multi-sided passageway 225 is oriented to angle 22 to correspond to the orientation of the body.
- Carrier 250 is used to place connector 1 B at this desired angle upon projection 206 of implant 4 B.
Abstract
Description
Claims (11)
Priority Applications (1)
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US09/198,651 US6244867B1 (en) | 1998-11-24 | 1998-11-24 | Multi-part, multi-positionable abutment for use with dental implants |
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US09/198,651 US6244867B1 (en) | 1998-11-24 | 1998-11-24 | Multi-part, multi-positionable abutment for use with dental implants |
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US09/198,651 Expired - Lifetime US6244867B1 (en) | 1998-11-24 | 1998-11-24 | Multi-part, multi-positionable abutment for use with dental implants |
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Cited By (46)
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EP1269932A1 (en) * | 2001-06-29 | 2003-01-02 | BEGO Semados GmbH | Dental implant assembly |
US20040053194A1 (en) * | 2002-09-16 | 2004-03-18 | Carroll Ernest A. | Dental abutment having relief grooves |
US20040185420A1 (en) * | 2003-03-18 | 2004-09-23 | Schulter Carl W. | Dental implant abutment |
US20040185419A1 (en) * | 2003-03-18 | 2004-09-23 | Schulter Carl W. | Unitary dental implant |
US20060234188A1 (en) * | 2005-04-15 | 2006-10-19 | Hunt Peter R | High strength substructure reinforcement for crowns and bridges |
US20060252009A1 (en) * | 2005-11-18 | 2006-11-09 | Dumitru Gogarnoiu | Slanted dental implant |
US20070128580A1 (en) * | 2003-08-15 | 2007-06-07 | Moermann Jeanette | Blank and method for producing a dental prosthesis |
US7250055B1 (en) | 2003-08-26 | 2007-07-31 | Biomet Manufacturing Corp. | Method and apparatus for cement delivering buttress pin |
US20080032266A1 (en) * | 2004-07-19 | 2008-02-07 | Harlass Harald E | Superstructure Body for a Dental Crown Superstructure System |
US7338493B1 (en) | 2002-06-28 | 2008-03-04 | Biomet Manufacturing Corp. | Method and apparatus for cementing a screw anchor |
US20080299516A1 (en) * | 2005-04-12 | 2008-12-04 | Eduardo Anitua Aldecoa | Dental Implant, Pieces to be Connected to a Dental Implant, and the Internal Connection Between the Dental Implant and Each Piece |
US20090029317A1 (en) * | 2007-07-27 | 2009-01-29 | Seiko Epson Corporation | Method for manufacturing dental implant and dental implant |
US20090029315A1 (en) * | 2007-07-27 | 2009-01-29 | Seiko Epson Corporation | Method for manufacturing dental implant and dental implant |
US20090029321A1 (en) * | 2007-07-27 | 2009-01-29 | Seiko Epson Corporation | Method for maufacturing dental implant and dental implant |
US20100086900A1 (en) * | 2008-05-06 | 2010-04-08 | Keystone Dental, Inc. | Coping-analogue kit |
US7758344B2 (en) | 2005-11-18 | 2010-07-20 | Form And Function Dental Services, P.C. | Asymmetrical dental implant and method of insertion |
US20100266985A1 (en) * | 2009-04-21 | 2010-10-21 | Pou Yu Biotechnology Co., Ltd. | Abutment assembly for dental implant |
US20100291507A1 (en) * | 2009-05-13 | 2010-11-18 | Custom Spine, Inc. | Polyaxial Dental Implant |
US20100311011A1 (en) * | 2008-02-13 | 2010-12-09 | Straumann Holding Ag | Abutment with inlay for dental implants |
US20110053114A1 (en) * | 2009-09-02 | 2011-03-03 | Arthro Co., Ltd. | Human body implant structure, method of assembling the structure and method of disassembling the structure |
US20110086327A1 (en) * | 2009-10-09 | 2011-04-14 | Sheldon Lerner | Combination UCLA Impression Coping and Installation Procedure |
US20110223562A1 (en) * | 2008-10-31 | 2011-09-15 | Holger Zipprich | Dental Implant |
US20120077149A1 (en) * | 2010-09-29 | 2012-03-29 | Ivoclar Vivadent Ag | Dental Implant System |
US20120246916A1 (en) * | 2009-10-08 | 2012-10-04 | Oriol FARRE BERGA | Abutment for the manufacturing of the internal structure of dental prosthesis |
US20120308960A1 (en) * | 2011-05-31 | 2012-12-06 | Gc Corporation | Dental abutment |
US8382477B2 (en) | 2011-04-18 | 2013-02-26 | Terry B. Philibin | Healing abutment system for bone contouring |
US20130177872A1 (en) * | 2012-01-10 | 2013-07-11 | Mark H. Blaisdell | Customizable sculptable anatomical healing caps, systems, and related methods |
US20140272792A1 (en) * | 2013-03-15 | 2014-09-18 | Harry A. HARALAMPOPOULOS | Conversion abutment for dental implants |
US20150104756A1 (en) * | 2011-05-16 | 2015-04-16 | Biomet 3I, Llc | Temporary abutment with combination of scanning features and provisionalization features |
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US20160074141A1 (en) * | 2014-09-12 | 2016-03-17 | Italo Lozada | Dental Prosthesis |
US9364299B2 (en) | 2012-11-20 | 2016-06-14 | Gerald M. Marlin | Universal aligning adaptor system and methods |
US9572640B2 (en) | 2012-10-02 | 2017-02-21 | Mark H. Blaisdell | Casting jig for chair-side manufacture of customizable sculptable anatomical healing caps |
US9861455B2 (en) | 2013-07-30 | 2018-01-09 | TI Intellectual Property Inc. | Dental implant system |
US20180008387A1 (en) * | 2012-02-23 | 2018-01-11 | Zircore, Llc | Companion engineering and manufacturing processes (cemp) to optimize multi-layered zirconia crowns |
US9895209B2 (en) | 2012-01-10 | 2018-02-20 | Mark H. Blaisdell | Casting jig including elongate handle for chair-side manufacture of customizable sculptable anatomical healing caps, and method for forming bis-acrylic crown |
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US10016260B2 (en) | 2012-01-10 | 2018-07-10 | Mark H. Blaisdell | Anatomical healing abutments, kits, and methods |
US10507081B2 (en) | 2012-01-10 | 2019-12-17 | Esthetic Implant Solutions, Llc | Methods for taking an impression or scanning without requiring removal of a temporary healing abutment |
US10568720B2 (en) | 2012-01-10 | 2020-02-25 | Estetic Implant Solutions, LLC | Dental implants with markers for determining three-dimensional positioning |
US10595970B2 (en) | 2012-01-10 | 2020-03-24 | Esthetic Implant Solutions, Llc | Bonding of soft gingival tissues with anatomical and other dental prostheses |
US10709525B2 (en) | 2012-01-10 | 2020-07-14 | Esthetic Implant Solutions, Llc | Methods for taking an oral scan without requiring removal of a temporary healing abutment |
US20200337811A1 (en) * | 2014-02-05 | 2020-10-29 | Straumann Holding Ag | Dental implant for bone collection and distribution |
US11253345B2 (en) | 2012-01-10 | 2022-02-22 | Esthetic Implant Solutions, Llc | Methods for integrating scans including 3D cone beam scan for positioning of implant and fabrication of dental prosthesis |
US11559379B2 (en) | 2018-04-12 | 2023-01-24 | Esthetic Implant Solutions, Llc | Dental implants with markers for determining three-dimensional positioning |
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Publication number | Priority date | Publication date | Assignee | Title |
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EP1269932A1 (en) * | 2001-06-29 | 2003-01-02 | BEGO Semados GmbH | Dental implant assembly |
US7338493B1 (en) | 2002-06-28 | 2008-03-04 | Biomet Manufacturing Corp. | Method and apparatus for cementing a screw anchor |
US20040053194A1 (en) * | 2002-09-16 | 2004-03-18 | Carroll Ernest A. | Dental abutment having relief grooves |
US6910891B2 (en) * | 2002-09-16 | 2005-06-28 | Ernest A. Carroll | Dental abutment having relief grooves |
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